Ms. Jessica E Henderson, PA
Physician Assistant, Surgical in Eatontown, New Jersey
1659600070- Practice location
- 32 Corbett Way, Eatontown, NJ 07724-2263
- Phone
- 732-460-9555
- Fax
- 732-460-0699
- Last updated
- March 16, 2012
Jessica E Henderson is a Physician Assistant, Surgical based in Eatontown, NJ. Jessica E Henderson practices in Eatontown, NJ and has the professional credentials of PA. The NPI Number for Jessica E Henderson is 1659600070 and holds a License No. 25mp00230400 (NJ). The current practice location address for Jessica E Henderson is 32 Corbett Way, Eatontown, NJ 07724-2263 and can be reached out via phone at 732-460-9555 and via fax at 732-460-0699.
Provider Profile Details
- NPI Number
- 1659600070
- Provider Name
- Jessica E Henderson
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 32 Corbett Way, Eatontown, NJ 07724-2263
- Phone Number
- 732-460-9555
- Fax Number
- 732-460-0699
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 14, 2009
- Last Update Date
- March 16, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 32 Corbett Way
Eatontown, NJ 07724-2263 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-2263
- Phone Number
- 732-460-9555
- Fax Number
- 732-460-0699
Provider Business Mailing Address Details
- Address
- 32 Corbett Way
Eatontown, NJ 07724-2263 - City
- Eatontown
- State
- NJ
- Zip
- 07724-2263
- Phone Number
- 732-460-9555
- Fax Number
- 732-460-0699
License Information
- License Number
- 25mp00230400
- License State
- NJ
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Jessica E Henderson, PA?
The NPI number of Ms. Jessica E Henderson, PA is 1659600070. It was assigned on December 14, 2009 and is currently active in the NPPES registry.
What is the specialty of Ms. Jessica E Henderson, PA?
Ms. Jessica E Henderson, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25mp00230400.
Where does Ms. Jessica E Henderson, PA practice?
The practice location is 32 Corbett Way, Eatontown, NJ 07724-2263. The office can be reached at 732-460-9555 (phone) or 732-460-0699 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659600070 directly on the NPPES registry website.